AtlantaRN

AtlantaRN RN

Med Surg, Hospice, Home Health

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All Content by AtlantaRN

  1. I HATE my GPS

    AtlantaRN replied to Vtachy1's topic in Hospice, Palliative

    I have a garmin nuvi, I need to update the maps, never can find new subdivisions. I use my iPhone to find a close by intersection, and use that function to find the

  2. Bait and Switch... It keeps happening. WHY????

    AtlantaRN replied to RNfortoLong's topic in Hospice, Palliative

    I have been there, done that, and wore out the t-shirt! I am w a good group right now, nurses cover each other and help each other. I see the mgr n Asst mgr butt heads w corporate to admit folks...

  3. COPD and no BM for 40 days!

    AtlantaRN replied to Vtachy1's topic in Hospice, Palliative

    I currently have a lung ca pt w bone mets w a "normal" bm q9-19 days (YIKES). She has senna, miralax, something called enemeze (small suppositories she knows to use 3x a day prn. Sister wants her to...

  4. Continuous Care for unMANAGED symptoms?

    AtlantaRN replied to TLDey's topic in Hospice, Palliative

    There are none so blind as those who will not see. I have encountered situations where families are not accepting of hospice, even when the pt was on board. In the situation , once the pt could not...

  5. Vitas Inpatient Hospice

    AtlantaRN replied to JMomBaby's topic in Hospice, Palliative

    Run! Save yourself!!!!! We have a few ipu's in the area under the vitas name, 12 bed units, 1 rn/shift & 1 cna on day shift, for an Ipu? No

  6. Source Program and Hospice at the same time???

    AtlantaRN posted a topic in Hospice, Palliative

    Can a patient receive both Source and HOspice at the same time? 40 yr old with brain cancer.....Source is at the home 3 days a week, so manager is saying we are to visit 2 days a week. I thought...

  7. experienced nurse with anxiety on the job

    AtlantaRN replied to SFDRN's topic in General Nursing

    Placing a foley in the older female- meatus is usually closer to the lady parts or "down around the corner" one of my nursing instructor would say. Also older pts w bad hips or the demented ones, u...

  8. experienced nurse with anxiety on the job

    AtlantaRN replied to SFDRN's topic in General Nursing

    Bless you- I remember feeling that way during clinicals in nursing school. The more I would think about it-the more nervous I would get. I'm just better to just grab what I need n do it. Get the...

  9. question about visits

    AtlantaRN replied to onewithhospiceheart's topic in Hospice, Palliative

    still the same----2 days rn visits/week is still 2 days a week, no matter how many physicians they

  10. My Spidey Senses Say 'be careful'

    AtlantaRN replied to RN Dani SM A's topic in Hospice, Palliative

    When you apply at other companies, i wouldn't go into real detail WHy you left this one---I would just say "an ethical conflict....." My current employer understood when she saw who i worked for...

  11. My Spidey Senses Say 'be careful'

    AtlantaRN replied to RN Dani SM A's topic in Hospice, Palliative

    Madea says "if it walks like a duck and it quacks like a duck.......AFLAC!!!!!!" Turn in your notice and move on.... Your license is toooo toooo precious to risk it for an unethical company........

  12. question about visits

    AtlantaRN replied to onewithhospiceheart's topic in Hospice, Palliative

    md's are required to make home visits with the new regs-before a pt is recerted at the six month point, and every 60 days thereafter..... rn visits are different, so 2x/week is 2x rn

  13. Do you hospice nurses attend funerals of patients?

    AtlantaRN replied to Butterfly0328's topic in Hospice, Palliative

    social workers, chaplains, and alot of the home health aides go from my company-i don't

  14. New to Hospice Nursing... a bit overwhelmed! Need advice

    AtlantaRN replied to makua girl's topic in Hospice, Palliative

    here is a thread from 1999 about constipation and solutions

  15. New to Hospice Nursing... a bit overwhelmed! Need advice

    AtlantaRN replied to makua girl's topic in Hospice, Palliative

    ive also heard of vaseline balls rolled in powdered sugar, given orally.....for

  16. Source Program and Hospice at the same time???

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    yes-source is the above..... thank you for your help===i didn't understand and my branch director and mcp have bigger fish to fry than explain to

  17. Do you hospice nurses attend funerals of patients?

    AtlantaRN replied to Butterfly0328's topic in Hospice, Palliative

    I personally do not attend funerals for our patients. 2 other nurses at my location do attend funerals. Im a weekend call nurse, so i pronounce the majority of our patients. I agree that a funeral...

  18. Caseload for a Full time Case Manager

    AtlantaRN replied to jyhn's topic in Hospice, Palliative

    i'm a weekend nurse and i'm salaried. I do 24hr follow up visits, and take care of emergencies/med issues. I was a full time case manager for 3 yrs prior, we averaged 12-18 pts and we did 40hr/week...

  19. How to inform family that pt is dying?

    AtlantaRN replied to nrq9897's topic in Hospice, Palliative

    "Gone from my sight" is a great booklet-it is in our admission packet. all families are different, you may have some on board that understand, and other family members that believe "we can't just...

  20. Odyssey/Gentiva -No call returned?

    AtlantaRN replied to Campbell'sSoupCan's topic in Hospice, Palliative

    Odyssey and VistaCare was bought out by Gentiva. I understand there is a problem with integrating the application systems. I recently met an ER nurse that has a heart for hospice, and she filled out...

  21. Tell me about your continuous infusions

    AtlantaRN replied to ErinS's topic in Hospice, Palliative

    with ivf-i've seen more pain and increased secretions.... as for iv morphine and dilaudid and such-didn't really see a difference....it is just easier to use sl/po/pr and topicals (although my current...

  22. Unstable crazy situation-Help!!!

    AtlantaRN posted a topic in Hospice, Palliative

    What can we do? Sometimes people just don't see a dangerous situation.....Where do we draw the line with folks? Ok- we have a cardiac patient that has an ef of 10%, wife is always in an altered...

  23. Looking for a hospice caseload acuity tool

    AtlantaRN replied to joyfulljen's topic in Hospice, Palliative

    we have some families that will just want a nursing visit every 2 weeks, and others that don't need it=but will insist a patient have an aide 5x/week in the morning, and a nurse 5x/week in the...

  24. Unstable crazy situation-Help!!!

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    situation continues......aps was contacted-no word yet......but i can guarantee he will say he likes it there..... squirrels and feces......maybe my situation isnt as bad as i thought

  25. Discharge a patient because they go to er?

    AtlantaRN posted a topic in Hospice, Palliative

    Question. Have a patient that went to the er last night. He was having chest pain, he took x3 nitro sl and didn't relieve "10" level of pain. Writer is a good 60 minutes from patient-and he didn't...